Fillers Information Page

What are dermal fillers?

Dermal fillers are injectable products, either synthetic or natural, which are used to help restore volume or fill in various lines around the face. They are injected under the skin to give a more youthful or enhanced look. The procedure does not require general anaesthetic, and leaves no stitches or scars. And even better, there is little to no downtime.

Are dermal fillers safe?

In the UK there are nearly 200 dermal fillers available and only a very small number of these have a good safety profile – the hyaluronic acid or HA fillers. There has been considerable media attention to the regulation of dermal fillers recently, but to date the best tool patients have is to use a reputable practitioner using a reputable product. Dr Mayoni uses the Juvederm filler, one of the most advanced HA fillers available. This has a smoother consistency (meaning smaller needles!) and a built-in anaesthetic, Lidocaine, making the whole procedure much more comfortable.

What is Hyaluronic Acid (HA)?

HA occurs naturally in the body, and forms part of the matrix supporting the function of our skin and joints. It can also be considered our skin’s internal moisturizer, absorbing a lot of water and hence being responsible for our skin’s hydration.

Which areas can be treated with dermal filers?

Frown lines

Droopy mouth corners

Lipstick lines

Nasolabial folds & smile lines

Marionette lines

Defining the jaw line

Defining the chin and filling a deep chin crease

What will happen during my procedure?

Dr Mayoni will discuss the procedure with you, and the desired, realistic end look you wish to achieve. After completing the consent forms, photographs will be taken for record keeping. Local anaesthetic cream is then applied to the areas to be treated and left on the skin for 20 minutes. You may feel the initial injections of filler but after this, the procedure shouldn’t be painful since the fillers also contain local anaesthetic themselves.

Then Dr. Mayoni will use pre-filled, sterile syringes to inject filler into the areas of concern. You will be able to look at the result in a mirror to ensure you are happy with the look as we go along. Treatment itself takes around 15 to 30  minutes (depending on the number of areas being treated). At the end, Dr. Mayoni will massage the treated area firmly to ensure the product is evenly distributed before you leave the consultation.

What is the Non-Surgical Lift?

An evolution of the 8 Point Lift (sometimes also known as the 8 Point Non-surgical Facelift, or the Fluid Face Lift), the Non-Surgical Lift treatment targets specific areas of the face with small amounts of filler, subtly lifting and contouring the face.  The brainchild of esteemed plastic surgeon Mauricio De Maio, the Non-Surgical Lift works by targeting the key areas in the face where skin starts to sag as we age. Dr. Mayoni is fully trained in Mauricio De Maio’s technique, known as the MD Codes. We like to think of it as re-scaffolding the face!

The Non-Surgical Lift gives a fantastic, refreshed look, which is discreet but very effective. The treatment is not permanent, but gives long-lasting results (up to 18 months) meaning that your treatments can evolve and adapt as you age,  giving much more natural results.

When will I see the effects of a filler treatment?

The fillers work immediately but the final look is only achieved after two weeks. Also many fillers continue to absorb water for 48 hours after the procedure so you should expect up to a further 20% increase in volume. The effects last between four and nine months, depending on the site of the fillers and the type used.

Are there any side effects, or anything else I should know before going ahead?

Everyone’s face is asymmetrical and this will be demonstrated to you when we are discussing the procedure. In some cases there may be some over or under correction to allow for this, however it is not unusual for this asymmetry to persist after the procedure.

Bruising, redness and swelling are all common around the injection sites.

Whilst you can return to work or your daily activities afterwards, it is recommended you avoid bending forward for extended periods of time or lying down for 4 hours after. When you do sleep that night, try to do so on your back and propped up at 45 degrees.

After the treatment, it is also recommended that you avoid alcohol consumption and applying heavy makeup for 12 hours. Please avoid extreme sun exposure, UV light, freezing temperatures and saunas for 2 weeks after treatment.

Drinking plenty of water in the first two weeks after treatment will help the HA filler to plump up.  Following lip filler treatments, your lips may feel very dry due to the water absorption by the filler. You will be encouraged to use a nourishing lip balm regularly.

Rarely, there may be a slight visibility of the filler under the skin. This tends to disappear as the filler breaks down over the following weeks and months.

Some people are allergic to the treatment but this is rare as is infection to the treated skin.

Very rarely, filler can result in a persistent firmness or nodularity to the skin. There may be grey discolouration associated with this. Even more rarely, there is a chance of forming an abscess, scab or scarring at the treatment site. This is not seen very often with the newer types of filler available.

Who should avoid having HA dermal fillers?

HA fillers should not be administered to pregnant women, or to breast-feeding mothers.

Any patients who have had a previous reaction to an HA filler should avoid having treatment again. Also please mention if you have a specific allergy to local anaesthetic agents.

Patients taking blood-thinning medications such as Warfarin and Clopidogrel are at significant risk of bleeding and bruising with HA filler treatments, and would be wise to avoid this. Aspirin also thins the blood but to a less significant degree – patients should be aware that they may bruise, but this is not an absolute contra-indication.

Patients taking steroid medications have thinned skin and are therefore more at risk from HA filler injections.

Patients with a tendency to form lumpy scars (known as hypertrophic or keloid scars) should avoid HA filler treatments.

Can people who get cold sores have lip filler treatments?

There is no reason why a patient prone to cold sores should not have lip filler treatments, provided they understand that they may develop cold sores post-treatment. However Dr Mayoni will have a full discussion with you about this prior to treatment. If you are currently having an outbreak, or indeed any skin infection, then she may suggest postponing the procedure until the skin has healed.

Will I look “over-done” if I have HA filler treatment?

Many celebrities have given fillers a bad name by opting for an extreme look – over-plumped lips and pillow cheeks are common sights in the media. Most reputable practitioners aim for a subtle look rather than an obvious one. Be further reassured by the fact that these excessive results require really quite large quantities of filler to achieve, and not the sort of volumes we routinely use in our treatments.

How much do HA dermal filler treatments cost?

Please click here to see our Fillers page.

You can also read Dr Mayoni’s blog post “What is the 8 Point Non-surgical Facelift, and how does it work?” to find out more click here.